Organization
NORTHERN OHIO RECOVERY ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANITA BERTRAND MSW,LSW,LICDC (EXECITIVE DIRECTOR)
(216) 391-6672
Entity
Organization
Contact information
Practice address
2114 NOBLE RD, EAST CLEVELAND, OH 44112-1725
(216) 229-3784
(216) 229-2746
Mailing address
3746 PROSPECT AVE E, CLEVELAND, OH 44115-2706
(216) 392-6672
(216) 392-4633
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12603
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12379
1
OH
Enumeration date
12/12/2006
Last updated
09/24/2008
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